Vista Community Clinic is a private, non-profit medical, dental, optometry, chiropractic, behavioral and social services center providing care in a comprehensive, high quality setting. We provide the highest quality services in seven clinics located in San Diego, Orange and Riverside counties. We work to advance community health and hope by providing access to premier health services and education for those who need it most.  We are looking for dedicated, motivated, enthusiastic team players who want to serve our population. We have a very competitive compensation and benefits program which includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees.  VCC is an equal opportunity employer.

This is a hybrid (onsite/remote) role!

• Shared responsibility for the day-to-day supervision and oversight of Billing Department and designated staff
• Primary duty consists of hiring, promoting, training, evaluating and/or directing the work of designated staff
• Oversee daily workload for billing staff & ensure that established standards are followed with respect to productivity and accountability
• Work with manager to interview candidates for hire, monitor job performance of billing staff, counsel employees as needed and handle disciplinary action as necessary following approval
• Coordinate & deliver training to billing staff in daily operations for appropriate third party billing and follow up activity
• Assist  in writing/establishing operating procedures to meet billing regulations/compliance and follow up enhancement
• Work with manager to monitor payment/denial activity for correct reimbursement by payor, inform manager of potential reimbursement issues and all updates/changes of billing regulations/guidelines.
• Inform manager of all problems /issues related to billing operations and staffing
• Responsible for ensuring that operations and billing work hand in hand
• Reconcile claims with AR
• Proactively identify simplification / automation opportunities
• Utilize metrics to improve performance
• Proactively manage and ensure compliance with control objectives
• Support internal and external auditors
• Ensure that all claims are submitted correctly and timely to avoid billing deadlines and timely follow up is performed to prevent aging of account activity
• Maintain Accounts Receivable for your own health plan-payer assignments.

Minimum

• High School graduate or equivalent
• Minimum five (5) years’ billing experience
• Minimum two (2) years’ in a supervisory role
• Coding experience
• Valid California driver’s license and vehicle insurance; reliable transportation, to travel for meetings and/or to gather information for reporting purposes

Preferred

• Two years' experience in FQHC environment

Required Skills/Knowledge/Abilities

• Ability and willingness to work flexible schedule and hours
• Must be able to travel overnight
• Familiarity with billing fee-for-service payers including Medicare and HMO programs
• Knowledge of payer credit and collection policies
• Knowledge of patient accounting operations, third party policies, and industry standards
• Knowledge of billing software applications
• Strong knowledge of insurance billing in a medical/clinical setting
• Excellent interpersonal and both written and verbal communication skills with strong ability to create a comfortable, supportive learning environment 
• Ability to effectively present information, and communicate initiatives, results and analyses to multiple levels of management
• Supervisory skills including the ability to counsel others and ensure adequate coverage for duties assigned to staff
• Intermediate to advanced knowledge of practice management systems (NextGen preferred)
• Demonstrated ability to exercise good judgment and problem solve under pressure of deadlines and resource constraints
• Strong analytical and problem solving skills
• Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff
• Ability to interface with all levels of personnel in a professional manner
• Ability to work with people of all social and ethnic backgrounds and within the constraints of government funded programs
• Ability to perform work that is technically oriented
• Experience/familiarity with computers, Microsoft Office products (Word/Excel), business e-mail, communication systems and internet search capabilities
• Familiar with operation of telephone, fax and copier equipment

Preferred

• $68,000 - $74,000 DOE